Individual
LARA NICOLE BERTHIAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
126 STILLINGS AVE, SAN FRANCISCO, CA 94131-2824
(831) 246-1367
Mailing address
126 STILLINGS AVE, SAN FRANCISCO, CA 94131-2824
(831) 246-1367
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26275
CA
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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